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1235450172
THAN DEMETRISUS ANDROS
TRUMANN, AR
NPI
1235450172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-06-15
Last Update Date
2010-06-15
Business Address
Mr. THAN DEMETRISUS ANDROS AT
417 W MAIN ST STE B
TRUMANN, AR 72472-3116
Phone number: 870-483-7039
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Mailing Address
Mr. THAN DEMETRISUS ANDROS AT
5537 BLEAUX AVE
SPRINGDALE, AR 72762-0737
Phone number: 479-872-5580
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